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The Delaware Child Protective Registry form plays a significant role in ensuring the safety of children across the state. This form facilitates the process for individuals to consent to an inquiry into their child protection history. Completing this form is essential for anyone required to disclose their status concerning any substantiated cases of child abuse or neglect. The form requires personal details, including the applicant's full name, social security number, date of birth, gender, race, and ethnicity. Applicants must also indicate whether they have any existing records in the Delaware Child Protection Registry. It is imperative to submit the completed form within 90 days of signing, as this is a critical requirement for processing. Once filled out, the form can be sent via fax or email to the Division of Professional Regulation, ensuring the information reaches the right authorities swiftly. The document emphasizes the importance of transparency and accountability, allowing for safe interactions between caregivers and children. By understanding and using this form, individuals can actively participate in safeguarding children's welfare in Delaware.

Delaware Child Protective Registry Example

DELAWARE CHILD PROTECTION REGISTRY CONSENT FORM

Web Portal

Instructions

Complete the below form and fax or email directly to the Division of Professional Regulation at the contact information below:

Fax: (302) 739-2711

DE Application Number: APP-__________________

Email: customerservice.dpr@delaware.gov

 

Request must be within 90 days of signature date in order to be processed

PART I - APPLICANT INFORMATION

Name (Last*, First*, Middle): *___________________________, *_________________________, __________________

Other Name(s) used:

None ________________________________________________________________________

Social Security #: ________ - ________ - ___________

Date of Birth (mm/dd/yyyy)*: _____ - _____ - _______

Gender*:

Male

Female

Race: ______________________________________

Ethnicity: Hispanic

Non-Hispanic

Address (Street, City, State, Zip): ______________________________________ _______________ _____ __________

Are you on the Delaware Child Protection Registry for any substantiated cases of child abuse/neglect?

Yes

No

If yes, explain:_____________________________________________________________________________________

I hereby authorize The Delaware Department of Services for Children, Youth and Their Families to provide the below named requester with all substantiated cases of child abuse or neglect concerning me that are active on the Delaware Child Protection Registry. I further release the Delaware Department of Services for Children, Youth and Their Families, its officers and employees from any and all claims arising out of or in any way connected to the release or dissemination of any information concerning me.

Signature: ____________________________________________

Date: __________________

Parent/Guardian Signature (If applicant is under the age of 18): ______________________________________________

PART II - REQUESTER INFORMATION

Check one option below and complete required information*:

1. Agency Request – Agency Name*: DIVISION OF PROFESSIONAL REGULATION

2. Individual Request - Self

*Mandatory

Revised 6/2020

Form Characteristics

Fact Name Details
Purpose The Delaware Child Protection Registry Consent Form is used to consent to the release of child abuse or neglect information from the Delaware Department of Services for Children, Youth and Their Families.
Governing Law This form is governed by Delaware Code Title 16, § 923, which outlines the procedures for the protection of children and the obligations of reporting child abuse.
Submission Method The completed form can be submitted via fax to (302) 739-2711 or emailed directly to customerservice.dpr@delaware.gov.
Timeframe Requests must be made within 90 days of the date signed on the form to ensure processing.
Applicant Information The form requires personal information such as the applicant's name, Social Security number, date of birth, and address.
Substantiated Cases Applicants are asked whether they are on the registry for any substantiated cases of child abuse or neglect, which they must disclose.
Guardian Signature If the applicant is under 18 years of age, a parent or guardian's signature is required to validate the request.

Guidelines on Utilizing Delaware Child Protective Registry

The Delaware Child Protective Registry form requires specific information for processing your request. After gathering the necessary details, you will submit the completed form via fax or email to ensure it is received by the appropriate department. The request must be made within 90 days of signing the form.

  1. Obtain the Delaware Child Protection Registry Consent Form from the provided source.
  2. Fill in your last name, first name, and middle name in the Applicant Information section.
  3. If applicable, provide any other names you have used.
  4. Enter your social security number in the specified format.
  5. Input your date of birth in mm/dd/yyyy format.
  6. Select your gender by checking either Male or Female.
  7. Indicate your race and ethnicity by filling in the appropriate sections.
  8. Provide your address, including street, city, state, and zip code.
  9. Answer whether you are on the Delaware Child Protection Registry for any substantiated cases of child abuse/neglect by selecting Yes or No. If Yes, explain your answer in the space provided.
  10. Sign and date the form in the designated areas.
  11. If you are under 18, your parent or guardian must also sign the form.
  12. Choose between an Agency Request or Individual Request and complete the required fields based on your choice.
  13. For the Agency Request, fill in "DIVISION OF PROFESSIONAL REGULATION" as the Agency Name.
  14. Review the entire form for accuracy before submission.
  15. Fax the completed form to (302) 739-2711 or email it to customerservice.dpr@delaware.gov.

What You Should Know About This Form

What is the Delaware Child Protective Registry form?

The Delaware Child Protective Registry form is a consent form that individuals complete to authorize the Delaware Department of Services for Children, Youth and Their Families to release information regarding any substantiated cases of child abuse or neglect pertaining to them. This form is necessary for individuals who need to obtain a background check for employment, volunteering, or other purposes related to child welfare.

Who needs to fill out this form?

This form must be completed by anyone who wishes to show their eligibility to work or volunteer with children. This can include teachers, coaches, daycare workers, or anyone in a position where they have the potential to impact the welfare of children. If the applicant is under the age of 18, a parent or guardian must also sign the form.

How do I submit the form once it is completed?

You can submit the completed Delaware Child Protective Registry form by faxing it to (302) 739-2711 or by emailing it directly to customerservice.dpr@delaware.gov. Make sure to do so during the appropriate submission timeframe, as requests must be made within 90 days of the signature date for processing.

What information do I need to provide on the form?

The form requires detailed personal information including your name, date of birth, Social Security number, address, and gender. Additionally, you must disclose if you are on the Delaware Child Protection Registry for any substantiated child abuse or neglect cases and explain if applicable. Thorough and accurate completion is essential to avoid delays in processing your request.

What happens after I submit the form?

Once you submit your completed form, the Delaware Department of Services for Children, Youth and Their Families will process your request. They will review the information provided and check it against the Child Protection Registry. If your request is approved, you will receive details regarding any substantiated cases that may exist. This process typically takes place within a reasonable timeframe but can vary based on current request volumes.

What should I do if I have questions or need assistance?

If you have questions or require assistance while filling out the form or during the submission process, you can contact the Division of Professional Regulation. Their customer service line is available to help you navigate the process and ensure that your request is handled smoothly. Reaching out promptly can provide clarity and help alleviate any concerns you may have.

Common mistakes

Filling out the Delaware Child Protective Registry form requires careful attention to detail. Mistakes can lead to processing delays or even rejection of the application. One common error is leaving the DE Application Number blank. This number is crucial for tracking your application. Omitting it can create confusion and hinder efficient processing.

Another frequent mistake involves incorrectly completing the Name sections. Applicants often misplace or forget to include their middle name, or they may list other names used without clarification. Each field should be filled out accurately to avoid ambiguity. In addition, providing a Social Security Number can be a source of error. Inaccurate entries, such as formatting mistakes or transposing digits, can result in significant issues.

The date of birth is another area where applicants falter. Using the wrong format (mm/dd/yyyy) might render the information unreadable to those processing the form. It is vital to ensure that all elements of this date are correct. Furthermore, when indicating Gender and Race, some applicants neglect to select all applicable options, which can lead to incomplete information. This omission can raise flags during the review process.

Providing an incomplete or inaccurate address is yet another common mistake. The applicant's address must be entered fully and correctly to eliminate any potential for miscommunication. Additionally, answering the question about being on the Delaware Child Protection Registry requires careful consideration. Simply answering "Yes" or "No" is not enough; applicants should include necessary explanations if applicable.

One significant oversight occurs with the signature section. Failing to sign the form, or not dating it correctly, can halt the application process. For those under 18, obtaining a parent or guardian's signature is essential to ensure the form is valid. Neglecting this could lead to outright rejection of the submission.

Lastly, not adhering to the 90-day request window can result in administrative rejection. Applicants must ensure that their request falls within the specified timeframe. Awareness of these common mistakes can aid in successfully completing the Delaware Child Protective Registry form on the first try.

Documents used along the form

When submitting the Delaware Child Protective Registry form, a few other documents may be necessary to ensure a comprehensive application process. Each plays a distinct role in verifying information, establishing identity, or providing additional context. Here's a look at other forms and documents that are often used alongside this registry request.

  • ID Verification Form: This document is used to confirm the identity of the applicant. It typically requires personal identification details like a driver’s license number or state-issued ID number. This step is crucial in preventing identity fraud and ensuring that the correct individual is requesting information.
  • Background Check Form: Many organizations require a background check to assess an individual's history and suitability for positions involving children. This form captures permissions and personal information that facilitate a thorough review of criminal history and any prior involvement with child protective services.
  • Authorization to Release Information: This is an essential form for permitting the disclosure of private information to a third party. It outlines whom the information can be shared with and ensures that the applicant's privacy rights are protected throughout the process.
  • Child Abuse and Neglect Reporting Form: Sometimes, additional context about past reports or cases may be needed. This form helps document any allegations or findings related to child abuse or neglect that may have occurred in the past, assisting in a more informed review of the application.
  • Proof of Residency: Some applications may require documentation to confirm the applicant's current address. This could be in the form of a utility bill, lease agreement, or any official correspondence that includes the applicant's name and address.
  • Parental Consent Form: If the applicant is under 18, this form is necessary to obtain permission from a parent or legal guardian. It shows that the relevant adult is aware of the request and has given their approval for the child's information to be processed.
  • Employment Application: When applying for jobs that involve working with children, this form often accompanies a child protective registry request. It typically includes details about work history and qualifications, directly supporting the applicant's eligibility for employment in sensitive positions.
  • Training Certificate: If the applicant has completed any relating child welfare or protection training, including this certificate can be beneficial. It highlights the applicant's commitment to understanding child welfare issues and their implications in the workforce.

Completing the Delaware Child Protective Registry form alongside the appropriate documentation facilitates a smoother application process. Each form serves its purpose by ensuring that all necessary information is collected and verified, ultimately supporting the well-being and safety of children.

Similar forms

The following documents share similarities with the Delaware Child Protective Registry form. Each document serves a unique purpose related to background checks, consent requests, or child protection measures.

  • Child Abuse Clearance Request Form: This form is utilized by individuals seeking to obtain a clearance indicating whether there are any reported incidents of child abuse against them. Like the Delaware Child Protective Registry form, it requires personal information and consent to release findings.
  • Background Check Authorization Form: This document allows an organization, such as a school or childcare facility, to conduct a background investigation on an employee or volunteer. It also necessitates personal details and consent for data retrieval, mirroring the protocol found in the Delaware Child Protective Registry form.
  • Foster Care Application: Individuals applying to become foster parents must complete this form. It includes questions about personal history and consent for checks related to criminal and child abuse records, similar to the child protective registry procedure.
  • Adoption Request Application: Those interested in adopting a child need to fill out this application, which includes background information and consent for checks on child abuse history, paralleling the structure of the Delaware form.
  • Child Care Licensing Application: This application is used by individuals or organizations that wish to provide childcare services. It requires personal information and includes sections for consent to seek any relevant background checks, much like the child protective registry.
  • Volunteer Application for Child-Related Organizations: This application is necessary for volunteers in organizations that work with children. It requests similar information and consent for background checks, keeping the child's welfare as a priority.
  • State Police Background Check Form: This form is submitted to the state police by individuals looking to undergo a criminal background check. It requires identification details and provides consent to access any pertinent records, echoing the information-gathering aspect found in the Delaware Child Protective Registry form.
  • National Sex Offender Registry Consent Form: Individuals needing to verify their status against the National Sex Offender Registry must complete this form. It necessitates personal data and explicit consent to conduct a check, similar to the procedure of the child protective registry.
  • School Employment Application: Applicants for positions in schools must fill this out, including details that allow for background checks related to child safety. The sections for consent and data usage closely resemble those in the Delaware Child Protective Registry form.
  • Health Screening Authorization Form: Often required by schools or childcare centers, this form requests consent to contact medical professionals to release health-related information, akin to the consent aspect of the child protective registry.

Dos and Don'ts

When completing the Delaware Child Protective Registry form, consider these guidelines:

  • Do fill out all required fields completely and accurately.
  • Do use your legal name as it appears on official documents.
  • Do ensure your contact information is current and correct.
  • Do review your answers before submission to minimize errors.
  • Do submit your application within the 90-day processing time frame.
  • Don’t leave any mandatory fields blank; incomplete forms may be rejected.
  • Don’t use nicknames or aliases that do not match your identification.
  • Don’t provide false information as it may lead to legal consequences.
  • Don’t forget to include your signature and the date.
  • Don’t submit the form through any means other than fax or email as specified.

Misconceptions

Here are some common misconceptions about the Delaware Child Protective Registry form:

  • The form is only for individuals with a past of child abuse. Many believe that only those with substantiated child abuse cases need to fill this form. In fact, anyone can request their own information for peace of mind or to verify their status.
  • You must be a lawyer to submit the form. It's a common wrong assumption that legal assistance is required to fill out and submit the form. Individuals can complete the form on their own without any legal background.
  • The information is not kept confidential. Some think that their personal details do not have privacy. In reality, the Delaware Department of Services for Children, Youth and Their Families takes confidentiality seriously and protects the information provided.
  • The processing time is lengthy. Many fear that it takes a long time to receive information after submitting the form. Typically, requests are processed promptly, especially when submitted correctly within the designated time frame.
  • The form can be submitted anytime. There is a misconception about timing. The request must actually be made within 90 days of the signature date to ensure timely processing, so it's important not to wait too long.

Key takeaways

The Delaware Child Protective Registry form is an important document that helps ensure the safety and well-being of children in the state. Here are key takeaways for those filling out and using this form:

  • The form must be completed accurately and fully to avoid processing delays.
  • Submit the completed form via fax or email to the Division of Professional Regulation.
  • Ensure your request is made within 90 days from the date you sign the form.
  • Provide your full name, including any other names you have used, to identify yourself clearly.
  • List your Social Security number and date of birth, as these are essential for verification.
  • Indicate your gender, race, and ethnicity, as this demographic information is collected.
  • Specify your residential address to ensure correspondence is made to the correct location.
  • If applicable, disclose any presence on the Delaware Child Protection Registry related to abuse or neglect cases.
  • Your signature is required. This grants permission for the release of information pertaining to substantiated cases.
  • If the applicant is under 18, a parent or guardian must also provide their signature.

Completing the Delaware Child Protective Registry form accurately and timely can help facilitate a smoother process. Always double-check the information before submission to ensure its correctness. This promotes the integrity and efficiency of the child protection efforts in Delaware.